The association between childhood maltreatment and pain catastrophizing in individuals with immune-mediated inflammatory diseases,Journal of Psychosomatic Research

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The association between childhood maltreatment and pain catastrophizing in individuals with immune-mediated inflammatory diseases
Journal of Psychosomatic Research ( IF 3.5 ) Pub Date : 2021-03-30 , DOI: 10.1016/j.jpsychores.2021.110479
Tyler M MacDonald ₁ , John D Fisk ₂ , Charles N Bernstein ₃ , Renée El-Gabalawy ₄ , Carol A Hitchon ₃ , Jennifer Kornelsen ₅ , Scott B Patten ₆ , Annaliese Tisseverasinghe ₃ , Ruth Ann Marrie ₇

Affiliation

Dalhousie Medical School, Halifax, NS, Canada.
Nova Scotia Health Authority, Departments of Psychiatry and Medicine, Dalhousie University, Halifax, NS, Canada.
Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Department of Clinical Health Psychology, Max Rady College of Medicine Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Departments of Anesthesiology, Perioperative and Pain Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Department of Radiology, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Division of Diagnostic Imaging, Winnipeg Health Sciences Centre, Winnipeg, MB, Canada; Neuroscience Research Program, Kleysen Institute for Advanced Medicine, Winnipeg Health Sciences Centre, Winnipeg, MB, Canada.
Departments of Community Health Sciences & Psychiatry, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada; Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.

Objective

Childhood maltreatment is associated with pain catastrophizing. Both childhood maltreatment and pain catastrophizing are prevalent in certain immune-mediated inflammatory disease (IMID) populations. However, it is unknown whether childhood maltreatment contributes to the high rates of pain catastrophizing in IMID cohorts. We assessed the relationship between childhood maltreatment and pain catastrophizing in individuals with IMID, and whether this differed across IMID.

Methods

Between November 2014 and July 2016 we recruited individuals with multiple sclerosis (MS), inflammatory bowel disease (IBD), and rheumatoid arthritis (RA). Participants completed the Childhood Trauma Questionnaire-Short Form, the Pain Catastrophizing Scale, and Hospital Anxiety and Depression Scale. We tested the association between childhood maltreatment and pain catastrophizing using multivariable logistic regression.

Results

We included 577 individuals with IMID (MS: 232, IBD: 215, RA: 130). Overall, 265 (46%) participants with IMID reported any childhood maltreatment, with the most common type of maltreatment being emotional neglect. Childhood maltreatment was associated with pain catastrophizing (OR 3.32; 95% CI 1.89–5.85) independent of other risk factors, including sociodemographics and symptoms of anxiety and depression.

Conclusion

Pain catastrophizing is highly prevalent in our IMID population, and strongly associated with childhood maltreatment in this population. Interventions that consider childhood maltreatment and pain catastrophizing should be incorporated into the clinical management of IMID patients.

中文翻译：

免疫介导的炎症性疾病患者儿童期虐待与疼痛灾难性之间的关联

客观的

童年的虐待与痛苦的灾难化有关。儿童期虐待和痛苦灾难在某些免疫介导的炎症性疾病 (IMID) 人群中都很普遍。然而，尚不清楚童年虐待是否会导致 IMID 队列中的高疼痛灾难性发生率。我们评估了 IMID 患者童年期虐待与疼痛灾难之间的关系，以及这在 IMID 之间是否存在差异。

方法

2014 年 11 月至 2016 年 7 月期间，我们招募了患有多发性硬化症 (MS)、炎症性肠病 (IBD) 和类风湿性关节炎 (RA) 的个体。参与者完成了童年创伤问卷 - 简短表格、疼痛灾难性量表和医院焦虑和抑郁量表。我们使用多变量逻辑回归测试了童年虐待与痛苦灾难之间的关联。

结果

我们纳入了 577 名 IMID 患者（MS：232，IBD：215，RA：130）。总体而言，265 (46%) 名 IMID 参与者报告了任何童年虐待，最常见的虐待类型是情感忽视。童年虐待与疼痛灾难性（OR 3.32；95% CI 1.89–5.85）相关，独立于其他风险因素，包括社会人口统计学和焦虑和抑郁症状。